| NPI | 1619399706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARISSE STEPHENSON President 214-404-0993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: TX N6687) |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2015-06-12 |