| NPI | 1831401884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN T. ROSE President 903-465-2190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX L3103) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: TX L3103) |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2011-01-13 |