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 |