| NPI | 1073176483 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | EUNICE MCGILL Office Manager 214-592-9955  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207X00000X Orthopaedic Surgery | 
| Additional Taxonomies | 111N00000X Chiropractor | 
| 207T00000X Neurological Surgery | |
| Enumeration Date | 2019-04-22 | 
| Last Update Date | 2021-08-10 |