| NPI | 1851223135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN GEIDER Owner 817-706-4960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2026-06-01 |
| Last Update Date | 2026-07-12 |