| NPI | 1053476259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MCPHEE Office Manager 903-758-2746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0822150001) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2021-03-30 |