| NPI | 1801152426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRASE MAHAN Authorzied Offical 214-675-0905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other Surgical Technologist |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2024-06-03 |