| NPI | 1679741862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON D GODFREY Owner/Member 940-264-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2009-02-09 |