| NPI | 1235676495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL E JOHNSON Owner 214-227-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: GA 16-399) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2017-01-26 |