| NPI | 1164036794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA L LOCKE Csfa 210-300-7068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-11-19 |