| NPI | 1104021591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY T FULP Owner 956-668-7746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX j7963) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2013-07-26 |