NPI | 1043275274 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER COMSTOCK Owner, President 361-694-4320 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX K0691) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX J3635) |
Enumeration Date | 2006-04-19 |
Last Update Date | 2022-11-22 |