| NPI | 1699164913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E BERRY President 469-304-3501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: TX 1135) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |