| NPI | 1447445267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA M TATSAK Business Manager 817-332-5591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX E7434) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2010-01-25 |