| NPI | 1710610134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS NICOLAS GARCIA-MAYORCA Surgical Assistant 281-250-0074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2022-07-04 |
| Last Update Date | 2023-01-09 |