| NPI | 1588928881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER YOUNG Owner 281-463-6309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00430) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2014-08-19 |