| NPI | 1265969562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN HENRY Authorized Official 817-429-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX L2316) |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2022-07-21 |