| NPI | 1871804112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN MIRZA CEO 713-339-1353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX M8186) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TX SA00092) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2010-07-01 |