| NPI | 1083144513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS KEITH CONNER Owner/Orthopedic Physician Assistan 214-418-0317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2022-07-21 |