| NPI | 1871784652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER RICHEY Executive Director 806-468-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207QS0010X Family Medicine Sports Medicine |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2022-07-19 |