| NPI | 1205233269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY NICOLE WHITLEY Certified Surgical Technologist 806-468-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: TX 137052) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |