| NPI | 1235164708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA M MARTIN Practice Manager 817-599-4464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX F9432) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2012-03-27 |