| NPI | 1558611764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE RAMIREZ Regional Practice Manager 281-238-7870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2013-03-22 |