| NPI | 1053681023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD ALEXANDER VANHOY CEO 979-549-8559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2018-08-24 |