| NPI | 1144282211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK GLENN FETNER President 214-824-2573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: TX K2328) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2007-10-03 |