| NPI | 1710146121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CONTRERAS Business Office Supervisor 214-654-2129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX G1105) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2009-07-02 |