| NPI | 1487905659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA FUENTES Licensed Surgical Assistant 469-231-5309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: TX SA00072) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2012-09-27 |