| NPI | 1184218570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH BROOKSHIRE Do/Owner 956-322-7662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-08-06 |