| NPI | 1104285279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIANO PARILLA CEO 817-682-3792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse Registered Nurse First Assistant |
| Additional Taxonomies | 211D00000X Assistant, Podiatric |
| 363AS0400X Physician Assistant Surgical | |
| 163WS0121X Registered Nurse Plastic Surgery | |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |