| NPI | 1639787385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE OTAMIRI Owner 214-227-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2021-12-27 |