| NPI | 1851794085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LYNN HERNDON Licensed Surgical Assistant 281-642-3808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2014-10-02 |