| NPI | 1093037814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMAD MIKE MODARESI Manager/ Owner 832-368-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other Surgical Assistant (Licence: TX SA00285) |
| Enumeration Date | 2010-02-21 |
| Last Update Date | 2013-04-02 |