| NPI | 1326250531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARRYL BERNELL Administrator 281-782-5360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX H6816) |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TX H6816) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2011-07-26 |