| NPI | 1417414061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASEM ABDELFATTAH Manager 915-241-0997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2019-03-06 |