NPI | 1720497399 |
---|---|
Entity Type | Organization |
Authorized Contact | TERREN D KLEIN President 915-706-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX H5910) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 743198) |
Enumeration Date | 2014-08-08 |
Last Update Date | 2019-05-28 |