| NPI | 1770987422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA NUNEZ Administrator 817-424-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |