| NPI | 1194113225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CODIE LUNT Manager 214-370-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2022-06-15 |