| NPI | 1588624589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB S. HEYDEMANN President 915-838-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX F4077) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX F4077) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2008-03-06 |