| NPI | 1982250007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA TURNER Owner 281-346-3480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |