| NPI | 1093249302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMI RENEE RUSSELL Owner 713-705-7953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |