| 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 |