| NPI | 1588113716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY DEONIER Authorized Official / Manager 210-387-7193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-09-29 |