| NPI | 1194002394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DAVID EVANICH President 972-420-1776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX L2878) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2021-09-03 |