| NPI | 1366781189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY RAGSDALE Credentialing Account Manager 512-454-5911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX M9941) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2013-02-14 |