| NPI | 1831561935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS HERNANDEZ Surgical Assistant 281-256-5702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00334) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-29 |