| NPI | 1184904765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M FACKLER President/Owner 936-539-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX K2687) |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2014-02-07 |