| NPI | 1902351513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA RUTH PINNEY Physician Assistant 832-515-6731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX pa09761) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |