NPI | 1104433739 |
---|---|
Doing Business As | AZALEA ORTHOPEDICS & SPORTS MEDICINE CLINIC |
Entity Type | Organization |
Authorized Contact | JENNIFER KINMAN CEO 512-439-1000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Enumeration Date | 2020-09-28 |
Last Update Date | 2020-09-28 |