| NPI | 1902111651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW PARK Physician 214-370-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2024-10-16 |