| NPI | 1265770507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE LOWE Billing 817-485-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2013-01-22 |