| NPI | 1346599735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYSMARK A ACEBO Owner 832-713-9153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2012-08-31 |