NPI | 1902036239 |
---|---|
Entity Type | Organization |
Authorized Contact | YOLANDA MEASHELL SNELL Surgical Assistant Certified 817-501-1375 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2009-07-21 |
Last Update Date | 2014-01-06 |