| NPI | 1124070750 |
|---|---|
| Doing Business As | FORT WORTH SURGICAL SPECIALIST, PA |
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN L CARR President 817-877-5871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2011-08-31 |