| NPI | 1558639633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES THOMAS WHITTENBURG Co Owner 817-468-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX L1779) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2012-05-18 |