| NPI | 1265729453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY T HORRILLENO Owner 214-388-4808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TX G1042) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2011-07-07 |