| NPI | 1992970966 |
|---|---|
| Former Legal Business Name | FIRST SOUTHWEST SURGICAL ASSISTANTS |
| Entity Type | Organization |
| Authorized Contact | SAMUEL B. HENDERSON Sa C 830-734-2689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2015-08-18 |