| NPI | 1265811871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN BRENT BROTZMAN Owner 512-689-2551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |