| NPI | 1942503974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERCY VELASQUEZ Authorized Representative 281-463-6309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2014-08-19 |