NPI | 1215258918 |
---|---|
Doing Business As | SOUTHWEST ORTHOPAEDIC GROUP |
Entity Type | Organization |
Authorized Contact | BRIAN L SULLIVAN Physician 512-451-1969 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX K7496) |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX K9864) |
332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX K7496) | |
Enumeration Date | 2010-06-16 |
Last Update Date | 2021-01-15 |