| NPI | 1639496920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN M TAYLOR Administrator 214-221-0685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX E8702) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TX 2-2630) |
| 111NX0100X Chiropractor, Occupational Health (Licence: TX 6788) | |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2010-04-26 |