| NPI | 1548775620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA BURTON Surgical Assistant 817-896-4882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX 4842) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2017-12-11 |