| NPI | 1992997910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNA LAREE TREJO Practice Manager 409-722-4446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX E9531) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |