| NPI | 1831580166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELSIDA MARGARITA PEREZ TAMAYO Surgical Assistant 281-653-2924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00445) |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2015-02-09 |