NPI | 1730746595 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL RILEY Owner 713-992-1086 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2019-05-28 |
Last Update Date | 2023-02-06 |