| NPI | 1639626856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN NICOLE HINOJOSA Owner 832-905-4186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX P2121) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2023-02-07 |