| NPI | 1346793031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONDA MARTIN Owner 346-221-1597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX SA00438) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-28 |