| NPI | 1720286206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLANDO PEREZ Surgial Assistant 832-425-5634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00087) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2012-11-14 |