| NPI | 1487272423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETICIA I REYES Surgical Assistant 214-736-8509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2020-07-13 |