| NPI | 1477832293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE GONZALES Owner 210-788-6514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2014-10-08 |