| NPI | 1396271839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY CHRISTIAN TERRY Owner 210-279-8634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2018-02-08 |