| NPI | 1619931367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE I GODFREY Office Manager 281-332-9676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX MDF8994) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2010-10-04 |