| NPI | 1184671190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN L CRAFT Business Relations Representative 903-531-5937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-08-22 |