208100000X
Bedford, TX
Specialty
208100000X
Credential
PT
NPI
1609017706
1600 Central Dr, Bedford, TX 76022
(817) 318-0235Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 208100000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 208100000X