| NPI | 1750654240 |
|---|---|
| Doing Business As | PREMIUM SURGICAL ASSISTANT |
| Entity Type | Organization |
| Authorized Contact | ALEXANDER JOSE PADILLA Surgical Assistant 832-623-8639 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |