| NPI | 1508318510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTO CEZAR LASTIMOSA President 817-366-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |