| NPI | 1881454163 |
|---|---|
| Former Legal Business Name | IRVING ORTHOPEDICS AND SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MELYNN FANNING Office Manager 972-438-4636 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-03-21 |