NPI | 1780023192 |
---|---|
Entity Type | Organization |
Authorized Contact | PRESCOTT BENTON HOLLAND Surgical First Assistant 469-684-1578 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2013-06-19 |
Last Update Date | 2013-07-16 |