| NPI | 1831690189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE JERMAINE MCALLISTER Surgical Assistant 214-227-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Additional Taxonomies | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: GA 4854) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2023-03-21 |