| NPI | 1366273716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN KANE Owner 972-591-6468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-08-08 |
| Last Update Date | 2024-08-16 |