| NPI | 1710215645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FABIOLA MEDINA Owner 281-463-6309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00347) |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2009-12-04 |