| NPI | 1780275867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE GOTTLIEB Manager 469-528-1169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2022-10-03 |