| NPI | 1770061657 |
|---|---|
| Other Name | LLC |
| Entity Type | Organization |
| Authorized Contact | ANDY HALL CEO 713-791-2971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-03 |