| NPI | 1194999789 |
|---|---|
| Doing Business As | ASSOC OF EAR, NOSE & THROAT SURGERY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRADLEY EVASN Owner 972-420-7212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX M3218) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |