| NPI | 1912400565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAKOB A DEVORE Owner 214-227-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2021-11-10 |