| NPI | 1023154333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY MOORE Director Of Operations 512-342-0455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: OH 350483632B) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-03-25 |