| NPI | 1093799025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES Y LI Owner 432-332-9263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: TX L2417) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX L2417) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2012-02-22 |