| NPI | 1205913092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FALLON TURLEY GORDON President 409-835-0761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-10-29 |