NPI | 1366961237 |
---|---|
Doing Business As | HOLY FAMILY SPORTS MEDICINE |
Entity Type | Organization |
Authorized Contact | MOUZON BASS Agent 972-367-4845 |
Organization Subpart ? | No |
Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: PA MD028513E) |
Enumeration Date | 2017-09-12 |
Last Update Date | 2017-09-12 |