| NPI | 1811535487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN ACEBO CEO 832-713-9153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2023-01-12 |