| NPI | 1104473453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEZHMAN MIRZAKHANI Owner 214-295-7586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other Surgical Assistant |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |