| NPI | 1073988135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMIAH GRAFF Owner/Physician 972-403-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other Surgical Assistant (Licence: TX 136983) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2016-02-15 |