| NPI | 1467940916 |
|---|---|
| Doing Business As | SAINT AGNES SPINE & SPECIALTY SURGERY |
| Entity Type | Organization |
| Authorized Contact | JENETHA D MORAN Authorized Official 972-763-3893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |