| NPI | 1992999544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE L DELOACH Physician/President 936-755-3238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX H9881) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 4934240001) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2024-03-01 |