| NPI | 1932706793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL V LEYVA Certified Surgical First Assistant 281-414-3346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |