| NPI | 1386207678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC C VALERO Account Representative 214-396-7989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2019-04-22 |