| NPI | 1679713218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADIMIR GUREVICH Owner 281-463-6309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00040) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2009-02-23 |