| NPI | 1790210417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M BUTCHER Administrator 281-984-8799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX M9835) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |