| NPI | 1700368016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANIE DILLARD Credentialing 972-616-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2024-08-16 |