| NPI | 1881556074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH SPARENBERG CFO 832-474-2079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | |
| Enumeration Date | 2025-11-26 |
| Last Update Date | 2025-12-08 |