| NPI | 1851645881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH SUE BASS Certified Surgical Assistant 832-567-6180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-10-29 |