| NPI | 1962728865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L BLACKWELL President/Owner 281-357-5515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX J3695) |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2021-02-23 |