| NPI | 1619675873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY R MORGAN Office Manager 817-556-3212 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2023-02-17 |
| Last Update Date | 2023-03-16 |