| NPI | 1831577451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY BAKER Csa 713-819-7225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |