| NPI | 1821621079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LOUISE SHEFFIELD President 512-689-6182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 225500000X Specialist/Technologist |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2022-02-16 |