| NPI | 1205979705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY T JOHNSON Orthopaedic Surgeon 214-333-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0200X Chiropractor, Radiology (Licence: TX G6311) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: TX G6311) |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: TX G6311) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |