| NPI | 1750608964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YORDAN MORALES HECHAVARRIA Owner 832-461-9413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00348) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2014-02-06 |