| NPI | 1639711195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB PAUL LANDRY Owner 214-227-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other Surgical Assistant |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2025-08-22 |