| NPI | 1700086246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BARRY HUMENIUK Md/Owner 972-931-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: TX K6004) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2010-10-07 |