| NPI | 1225589591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELENA BROWN Authorized Official 281-463-6309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2019-03-07 |