| NPI | 1285679076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT L SUTTON Owner 731-421-4368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0102X Surgery Surgical Critical Care |
| 2086S0127X Surgery Trauma Surgery | |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2007-11-05 |