| NPI | 1871916072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE A SIMPSON Owner 7213-729-5934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA01617) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-04-22 |