| NPI | 1023195104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER GRAHAM Owner 817-294-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: VA 05135) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |