| NPI | 1992113088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK VALENTE President 214-384-1642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX N7365) |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX K8470) |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2014-08-06 |