| NPI | 1801147681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA M. PARNELL President 972-768-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA04153) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2015-08-24 |