| NPI | 1164432746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUYLENE MCNEAL SANDERS Office Manager 432-332-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2025-03-18 |