| NPI | 1699165605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORRANCE WALKER Manager 972-392-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| 207X00000X Orthopaedic Surgery | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2015-01-28 |