| NPI | 1558066092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN D GOODMAN Csfa 214-455-1901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2025-11-04 |