| NPI | 1619388824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD OZUMBA Medical Director 469-333-1676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX M1994) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2014-05-12 |