| NPI | 1306607270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG MICHAEL MOORE President 817-313-7649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2024-01-18 |