| NPI | 1821333709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYNEDRA INEZ BRUMFIELD Owner 469-693-1577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX 133075) |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2012-12-04 |