| NPI | 1063882330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BANNISTER Owner 214-315-6432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |