| NPI | 1255017026 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | RENEE LOPEZ Owner 214-227-2457 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant | 
| Enumeration Date | 2023-06-26 | 
| Last Update Date | 2023-06-26 |