| NPI | 1720496367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY REESE Owner 254-289-2858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX SA00573) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2016-09-22 |