NPI | 1487832010 |
---|---|
Other Name | ADVANCED |
Entity Type | Organization |
Authorized Contact | BENJAMIN AMOS BASSICHIS Owner 972-774-1777 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: TX K2643) |
Enumeration Date | 2008-02-06 |
Last Update Date | 2008-02-06 |