| NPI | 1154356087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BRIAN FURLONG Owner 915-771-8346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology |
| 2086S0129X Surgery Vascular Surgery | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2025-06-04 |