| NPI | 1003381112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA GASTON Owner 512-973-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-10-04 |