| NPI | 1982602611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH WARD LOUDEN Physician 817-336-7188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX K2062) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-01-08 |