| NPI | 1972998979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY BARROW Creditial Coordinator 214-396-3936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: AZ 42278) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2015-04-06 |