| NPI | 1952537011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMMY LIDBOM-OXFORD Billing Coordinator 956-465-1091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX K5700) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2024-06-12 |