| NPI | 1679944631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKIRA CABRERA Owner 253-970-8253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA04861) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2015-10-15 |