| NPI | 1053877407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A FORD President 817-905-2388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2020-10-06 |