| NPI | 1083026389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY DE LA CRUZ Certified Surgical First Assistant 210-218-2902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-05-21 |