| NPI | 1134753361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR FLORES Owner 817-962-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2021-07-22 |