| NPI | 1205201050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA MOLBERT Owner 214-227-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: ID 151909) |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2016-01-28 |