| NPI | 1124362504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SMITH President 972-578-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology |
| Additional Taxonomies | 208600000X Surgery |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| Enumeration Date | 2012-11-25 |
| Last Update Date | 2019-05-16 |