| NPI | 1114220365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY W SWAIN Owner 361-857-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2011-04-12 |