| NPI | 1225469703 |
|---|---|
| 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 |