| NPI | 1477009595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REX HOUSER Physician Owner 985-882-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: LA MD.019868) |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine (Licence: LA MD.207737) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2016-08-29 |