| NPI | 1073883310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS S WON Owner 972-255-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX L9018) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2013-01-24 |