NPI | 1649674474 |
---|---|
Entity Type | Organization |
Authorized Contact | DUSTIN RAY Manager 214-396-7725 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
207XS0106X Orthopaedic Surgery, Hand Surgery | |
246Z00000X Specialist/Technologist, Other | |
Enumeration Date | 2014-10-22 |
Last Update Date | 2017-03-02 |