| NPI | 1720423841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVONYA VASQUEZ Office Manager 281-463-1400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA04314) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2013-05-02 |