| NPI | 1043754088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD STEPHENSON Authorized Official 281-463-6309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2016-12-09 |