| NPI | 1124319868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEDA EDWARDS LABOME Business Office Administrator 281-969-8738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |