| NPI | 1851642482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA ESCOBAR Manager/Practice Administrator 832-517-6032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA01488) |
| Enumeration Date | 2012-09-22 |
| Last Update Date | 2012-09-22 |