| NPI | 1033585328 |
|---|---|
| Doing Business As | CARDIOTHORACIC & VASCULAR SURGERY CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOSEPH REPPERT Vice President 662-377-3978 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |