| NPI | 1528453768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL SALVADOR LOPEZ CARDENAS Owner 832-908-7831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2015-04-04 |
| Last Update Date | 2015-04-04 |