| NPI | 1689170284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB D SKORUPPA Owner 361-876-6689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00374) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2023-03-12 |