| NPI | 1649403106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG THOMAS PODLESKI Owner / CEO 972-613-7776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX J7138) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2009-09-01 |