| NPI | 1144504978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENATA FORD Md Owner 210-705-4855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |