NPI | 1124273222 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFF BRADFORD PHELPS President 817-996-4661 |
Organization Subpart ? | No |
Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
Enumeration Date | 2008-11-18 |
Last Update Date | 2014-02-14 |