NPI | 1629678156 |
---|---|
Entity Type | Organization |
Authorized Contact | DANA O GASSAWAY Practice Administrator 214-668-0414 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207K00000X Allergy & Immunology |
Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery |
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
Enumeration Date | 2020-10-26 |
Last Update Date | 2023-06-13 |