| 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 |