| NPI | 1780149922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTO C LASTIMOSA Managing Member 817-366-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-02-01 |