| NPI | 1992102313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE M. PASCHALL Practice Manager 817-926-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2014-12-01 |