| NPI | 1407056344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD EDWARD TREECE Chief Executive Officer 214-289-4666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX M6428) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2008-04-11 |