| NPI | 1417355637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MCCRILLIS Owner 281-324-5660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2014-12-22 |