| NPI | 1073963104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENYA DELCASTILLO Credentialing Specialist 214-425-6790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-06-20 |