| NPI | 1194071258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY ALAN LOWERY Owner 256-881-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: AL 16783) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2012-07-26 |