| NPI | 1922351865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONRAD CALVIN LO Physician Assistant Surgical 713-777-1886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA04350) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-10-16 |