| NPI | 1407330780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAIDEN JEAN EORY Managing Member 817-966-2968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2018-09-21 |