| NPI | 1801305289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN GUERRERO Licensed Surgical Assistant 281-778-5615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2020-03-16 |