| NPI | 1104492933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA H WOOD Owner 281-827-2108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2021-06-15 |