| NPI | 1336244557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE HENDERSON Revenue Cycle Director 817-735-2008 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2018-06-06 |