| NPI | 1902811862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA FOUNTIAN Billing Director 214-369-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2008-05-15 |