| NPI | 1477182681 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | PAUL SAADI Member 469-546-0278 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208VP0000X | 
| Additional Taxonomies | 207X00000X Orthopaedic Surgery | 
| Enumeration Date | 2020-04-08 | 
| Last Update Date | 2022-10-24 |