| NPI | 1699934018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL PARKER KIRBY President 214-345-5660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX H5716) |
| Additional Taxonomies | 2086S0129X (Licence: TX H5716) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2014-11-07 |