| NPI | 1235283425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY D DECAPRIO MD Owner 903-255-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TX K0284) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2008-03-20 |