| NPI | 1881828986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN K BERGESON President 512-863-4563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX 537055) |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2009-12-07 |