| NPI | 1437154077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN ELIZABETH FOURTON Director 972-860-8649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX 00554X) |
| Additional Taxonomies | 2085R0001X (Licence: TX 00554X) |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2007-11-27 |