| NPI | 1669123345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL W HARRISON Owner 682-244-7173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2022-01-13 |