| NPI | 1528814043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSEN MUKALEL Admin 281-721-9667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2026-03-20 |