| NPI | 1033108501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH G SUCKARIEH Owner 432-682-2191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX F3635) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2020-08-22 |