| NPI | 1811295785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE PURDON COO 832-585-3897 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA03999) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2011-03-02 |