| NPI | 1235335258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR LAROSA RUFFIN Chief Executive Officer 817-423-1969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: TX SA00142) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |