| NPI | 1316378367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CHARLIE VALENTE Manager 214-384-1642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX N7365) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX N7365) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2014-03-24 |