| NPI | 1932427861 |
|---|---|
| Former Legal Business Name | SURGIPAC SURGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | NELSON LOPEZ President 713-854-6467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: TX PA00915) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2012-09-04 |