| NPI | 1790008548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD KIBUULE CEO 214-497-2126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX N0166) |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-09 |