| NPI | 1134693112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY L HAMPTON Owner/President 512-973-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |