NPI | 1144266628 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIA A. PROVOST Director 940-383-2424 |
Organization Subpart ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: TX M2618) |
Enumeration Date | 2006-06-21 |
Last Update Date | 2008-04-29 |