| NPI | 1609221597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUSTAVO MANRIQUE Lsa 713-256-2182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX SA00437) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |