| NPI | 1427489244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARY WON Manager 972-880-2684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2013-12-04 |