| NPI | 1588150056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIO C LORES RIVERON Manager 281-818-7984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX SA00324) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 903329) |
| Enumeration Date | 2018-07-07 |
| Last Update Date | 2018-07-07 |