| NPI | 1871070151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO ARNOLDO RIVAS Surgical Assistant 832-800-6798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00643) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-08-17 |