| NPI | 1144226218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN ELIZABETH FOURTON Director 972-860-8649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX 00303W) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2008-03-12 |