| NPI | 1639311004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY GRAVENOR President 281-462-1285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: CO 2703) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |