| NPI | 1720343932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN ARTURO ZAMORA Cem 713-289-4127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX SA00496) |
| 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX 08-104) | |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2023-01-19 |