| NPI | 1194718429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY J PEARL Vascular Surgeon 214-821-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2015-05-15 |