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 Pain Medicine, Pain Medicine | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-08-20 |
Last Update Date | 2023-09-01 |