| NPI | 1629394143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLE J. GEORGE Owner 713-572-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX 3159) |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2010-04-08 |