| NPI | 1861886533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY HART Authorized Representative 281-653-2924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA07773) |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2015-03-20 |