| NPI | 1619526563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XUAN SUSIE FRIAS Licensed Surgical Assistant/Owner 713-806-1930 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2023-01-10 |