| NPI | 1114340627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES NEFF Director 817-485-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OK 23844) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 200300503) |
| 208600000X Surgery (Licence: TX K9947) | |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2016-11-18 |