| 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 |