| NPI | 1699038562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE STEPHENS Owner 214-824-7744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TX L8203) |
| Enumeration Date | 2012-06-16 |
| Last Update Date | 2012-06-16 |