| NPI | 1700154820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED SYED Manager 214-808-3559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA0098) |
| Enumeration Date | 2011-12-03 |
| Last Update Date | 2011-12-03 |