| NPI | 1689046070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATIF BAWAHAB Admin 979-574-7109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: MI 4704090801) |
| Enumeration Date | 2015-10-24 |
| Last Update Date | 2015-10-24 |