| NPI | 1992174502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICIO CENTENO Owner 210-606-8213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2020-02-01 |