NPI | 1396044210 |
---|---|
Entity Type | Organization |
Authorized Contact | DALE A FUNK Co/Owner Physician 325-698-3865 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
225100000X Physical Therapist | |
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
213ES0000X Podiatrist, Sports Medicine | |
Enumeration Date | 2011-03-17 |
Last Update Date | 2023-11-14 |