| NPI | 1225495708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDALL M POLK Lsa,Csfa 214-927-6539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other Surgical Assistant |
| Additional Taxonomies | 246ZX2200X Specialist/Technologist, Other Orthopedic Assistant |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2018-06-16 |