| NPI | 1689112542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB WEINBERG Owner 281-335-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: TX M4648) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |