| NPI | 1598197410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE NICKSON Manager 972-547-0047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2013-08-01 |