NPI | 1184913378 |
---|---|
Entity Type | Organization |
Authorized Contact | BLAINE BORDERS Md/Owner 318-329-1900 |
Organization Subpart ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: LA 018916) |
Enumeration Date | 2011-03-29 |
Last Update Date | 2011-03-29 |