| NPI | 1689967424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY JENKINS Practice Administrator 972-741-7189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX N6010) |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2021-05-10 |