NPI | 1225394471 |
---|---|
Former Legal Business Name | ORTHOPAEDIC ELECTIVE SPECIALISTS, PLLC |
Entity Type | Organization |
Authorized Contact | MICHAEL BLAKE SANDERS CEO 214-245-4424 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
Enumeration Date | 2012-04-02 |
Last Update Date | 2017-03-28 |