| NPI | 1013357250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DREFUS EARL THOMPSON Owner 936-526-1315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX 130937) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 856051) |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2014-11-04 |