| 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 |