| NPI | 1588613533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA MAXWELL Office Manager 325-674-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX J9754) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2007-12-06 |