| NPI | 1265886774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MICHAEL MCGOVERN President 903-596-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX K7057) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2021-04-27 |