| NPI | 1598099319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LU LIU Surgical Pa C 972-264-8575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: TX PA02204) |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2009-09-25 |