| NPI | 1366557506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDY LEE Billing/Credentialing Manager 806-353-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 208VP0000X | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2023-09-01 |