| NPI | 1639313851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY PAUL GOODFRIED Orthopedic Surgeon/Owner 903-597-5798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA00823) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX F1592) |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2011-12-22 |