| NPI | 1649437773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARICELA HERNANDEZ Owner 832-863-2057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00244) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2015-02-10 |