| NPI | 1750640702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN LEE KEYS CEO 281-830-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00427) |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-05-11 |