| NPI | 1922694710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE CUMMINGS CFO 985-801-6247 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| 207T00000X Neurological Surgery | |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2025-09-30 |