| NPI | 1417550146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ALONZO Owner 972-821-3567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2021-12-15 |