| NPI | 1043798077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS WON Surgeon 972-399-9012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: TX L9018) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX L9018) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX L9018) | |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-11-20 |