| NPI | 1891160032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS SANDOVAL Owner 512-470-2091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2015-12-13 |
| Last Update Date | 2021-08-10 |