| NPI | 1942881453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY MARTIN CEO 469-215-3494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2022-03-13 |