| NPI | 1871100735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI YINGLING Owner 817-454-2584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2021-03-12 |