| NPI | 1992107569 |
|---|---|
| Doing Business As | FAST |
| Entity Type | Organization |
| Authorized Contact | ROSENDO VILLARREAL President/CEO 281-468-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| 246ZX2200X Specialist/Technologist, Other, Orthopedic Assistant | |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-29 |