| NPI | 1023450871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT K LUCAS Owner 405-310-3028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |