| NPI | 1144760208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERICK COWANS COO 832-872-3794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |