| NPI | 1831655539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE SANTANA Surgical Assistant 817-716-4754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2019-02-18 |