| NPI | 1376541193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN ELIZABETH FOURTON Director 972-860-8649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX 00955K) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX 00955K) |
| 207T00000X Neurological Surgery (Licence: TX 00955K) | |
| 207XX0801X Orthopaedic Surgery, Orthopaedic Trauma (Licence: TX 00955K) | |
| 2085R0001X Radiology, Radiation Oncology (Licence: TX 00955K) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX 00955K) | |
| 207Y00000X Otolaryngology (Licence: TX 00955K) | |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2011-08-04 |