| NPI | 1134968092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS F WADLINGTON Vice President 972-401-9807 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2024-05-21 |