Individual
JAVIER ERRISURIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1130 BEACHVIEW ST STE 100, DALLAS, TX 75218-3702
(469) 341-5676
Mailing address
4709 WATERFORD DR, FORT WORTH, TX 76179-4145
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
NA
TX
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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