| NPI | 1982193462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN E BRICK Member 210-364-2007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA00510) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |