| NPI | 1104172832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE BRANT HOLBROOK Owner 512-973-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: TX SA00042) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2018-08-31 |