| NPI | 1871136218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENKAT SETHURAMAN Admin 214-390-7697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2019-12-10 |