| NPI | 1023280872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD NELSON VP Physician Services 662-293-7649 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2021-05-14 |