| NPI | 1003950957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF W MEINCKE-REZA Orthopedic Surgern 903-416-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX K6887) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2008-02-27 |