NPI | 1225469703 |
---|---|
Former Legal Business Name | WACO HAND, ELBOW & WRIST, PLLC |
Entity Type | Organization |
Authorized Contact | JOHN J FAILLACE Owner 254-732-0005 |
Organization Subpart ? | No |
Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX J4106) |
Enumeration Date | 2013-12-09 |
Last Update Date | 2014-12-04 |