| NPI | 1487164604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPHS Provider 972-468-0029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0127X Surgery Trauma Surgery |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2021-06-09 |