| NPI | 1669721379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUELLA CASTELLANOS CEO 469-426-8683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2012-09-10 |