| NPI | 1508447491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNY M COLTON Owner 422-327-9131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery |
| Enumeration Date | 2021-04-21 |
| Last Update Date | 2021-06-14 |