| NPI | 1285145532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOACHIM COLEMAN FIIHR CEO 469-667-6122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX K5159) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: TX K5159) |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2022-03-30 |