| NPI | 1245401884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE KRETZ CEO/President 817-960-6539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2020-11-11 |