| NPI | 1811270960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLTON J PERRY Owner 281-507-0774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: TX 2792) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |