NPI | 1972687622 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY M CARTER Lsa 817-294-7444 |
Organization Subpart ? | No |
Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: TX SA00165) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2020-08-22 |