| NPI | 1760227094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH TAYLOR Credentialing 214-592-9955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| 207LP2900X Anesthesiology, Pain Medicine | |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2026-06-10 |