| NPI | 1407094022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY JO WALTER Surgical Assistant 512-470-4023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: TX SA00311) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-02-04 |