| NPI | 1679086748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN R GUYER-RAMIREZ Authorized Official 832-707-5490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2017-11-13 |