| NPI | 1003289349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANWAR ARMANDO COSSA Licensed Surgical Assistant 469-293-7331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-11-09 |