NPI | 1407975766 |
---|---|
Entity Type | Organization |
Authorized Contact | DORSEY SHANTEL COFFEY Licensed Surgical Assistant 512-771-8731 |
Organization Subpart ? | No |
Primary Taxonomy | 247200000X Technician, Other (Licence: TX SA00060) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2020-08-22 |