| NPI | 1982856829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P KANE Physician's Assistant 817-605-0991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TX PA05284) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-10-22 |