| NPI | 1699108316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN M WALKER Surgical Assistant 214-227-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX 749TX) |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2013-08-16 |