| NPI | 1215242961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH M CARUSO Physician/Owner 817-375-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2010-08-18 |