| NPI | 1245456375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK R ROBBINS Owner 903-533-8702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2018-03-17 |