| NPI | 1184811796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN CLARK Office Manager 806-468-0313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: TX J5961) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2008-02-08 |