| NPI | 1073703054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY BARTON Vice President 270-575-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| 363AS0400X Physician Assistant, Surgical | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 363L00000X Nurse Practitioner | |
| 207Y00000X Otolaryngology | |
| 208600000X Surgery | |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2008-05-20 |