| NPI | 1023017068 |
|---|---|
| Doing Business As | ORTHOPEDIC SURGERY PAVILION |
| Entity Type | Organization |
| Authorized Contact | JOSEPH MILNE Medical Director 817-493-2356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TX 007075) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2020-08-22 |