| NPI | 1417316290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIHAIELA ILVES Owner 972-795-3252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX 154012) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-02-22 |