| NPI | 1346853348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIDI BELL Credentialing Coordinator 817-926-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-31 |