| NPI | 1528422888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSENTHALIA POLK Owner 281-965-2608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |