| NPI | 1174040653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA TURNER Practice Administrator 281-313-0031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2017-08-25 |