| NPI | 1831672062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN HART Managing Member 817-583-0744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine | |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2019-01-29 |