Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Mar 31, 2017
License(s)
67811 (TN)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1000 MEDICAL CENTER DR | Decatur, TX 76234-3834 | 940-626-2410 |
| MAILING | 2901 ACME BRICK PLZ | Fort Worth, TX 76109-4124 | 817-529-1900 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.