| NPI | 1053854539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEC AGUILAR Owner 832-629-1380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX 4167) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2022-01-25 |