| NPI | 1619596509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISRAEL RAMIREZ Surgical First Assistant 210-315-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2021-09-22 |