| NPI | 1801398730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JOHN BROCK Managing Partner 469-250-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |