| NPI | 1336408475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONAVENTURE NGU CEO / Owner 281-719-9505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX M3339) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2016-12-22 |