| NPI | 1750825485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN TRIPLETT Director Of Operations 713-816-9408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2016-12-14 |
| Last Update Date | 2016-12-14 |