| NPI | 1710330030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CARLOS DE LEON President 281-653-2924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX 09-136) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-11-30 |