| NPI | 1821673591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY BRAD LARSON Physician/President 940-299-4263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 2086S0105X Surgery, Surgery of the Hand | |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2022-10-03 |