| NPI | 1952664419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD L CROCKETT Sole Member 936-539-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX E4277) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2014-02-07 |