| NPI | 1558819540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA MARIE MACIAS Certified Surgical First Assistant 281-757-2829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX 148472) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-11-07 |