| NPI | 1487590196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER DERMAN Practice Owner 214-307-2681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2026-04-25 |
| Last Update Date | 2026-07-06 |