| NPI | 1861544751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA STOREY Practice Administrator 972-985-2797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |