| NPI | 1053843375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY J ELDERS Owner 832-403-3116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2019-03-07 |