| NPI | 1437499571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUKUND GUNDANNA President 979-693-1815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX L8709) |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2013-02-27 |