| NPI | 1679616502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN HOSTAS Office Manager 940-689-9664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2011-10-20 |