| NPI | 1740772318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOJO ASARE Manager 254-458-7855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2018-05-30 |