| NPI | 1821240409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRASE MAHAN Manager 214-675-0905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2009-08-10 |