| NPI | 1790702553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA AGNEW Business Manager 512-795-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX G5625) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX H7390) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX D5229) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX G4110) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX K3624) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2024-08-06 |