| 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 |