| NPI | 1225660087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE J JORDAN Owner 214-227-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2022-07-07 |