| NPI | 1457655508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY BURKHART Owner 214-536-2313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-04 |