| NPI | 1982730461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE D JENNINGS Owner President 972-394-0118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX F9619) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2012-04-20 |