| NPI | 1093194979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCO PENA Certified Surgical First Assistant 806-535-9197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2015-05-25 |
| Last Update Date | 2015-05-25 |