| NPI | 1982158176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLIE SEAGO Rcm 214-378-4656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TN 43046) |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2016-08-05 |