| NPI | 1780530949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASEY ROBERTSON Chief Admin Officer 972-357-8463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2026-03-09 |
| Last Update Date | 2026-03-09 |