| NPI | 1295271682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAEGAN SHEPHERD Owner/Director 817-851-5517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX 132517) |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2017-01-10 |