| NPI | 1932494192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECE PANNELL Off Mgr 817-294-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: TX 530175) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-06-16 |