| NPI | 1760991830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK C VALENTE Owner 214-384-1642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: TX N7365) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2022-07-21 |