| NPI | 1053958967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISSY WEATHERFORD Account Manager 281-346-3480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |