| NPI | 1720522162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO MARTINEZ Certified Surgical First Assistant 214-450-9814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: TX 246zc0007x) |
| Enumeration Date | 2016-12-04 |
| Last Update Date | 2017-02-16 |