| NPI | 1154708444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN M JONES-QUAIDOO Managing Member 214-577-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2022-01-06 |