| NPI | 1689955601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA HUNTER GREENE Managing Member 903-826-3302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA06288TX) |
| Enumeration Date | 2011-09-03 |
| Last Update Date | 2012-07-11 |