| NPI | 1609765726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANENECHUKWU UBESIE Owner/CEO 972-850-6122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care |
| 2086S0127X Surgery, Trauma Surgery | |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-08-20 |