| NPI | 1194161521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF KROPHOLLER Director 254-221-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2022-10-07 |