| NPI | 1720643992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JOSEPH GONZALES Owner, President 210-316-3646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2022-07-22 |