| NPI | 1427244268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA L ROSE Owner 214-227-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: TX SA00223) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2022-04-07 |