| NPI | 1326265364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN ALLEN GOODRICH Clinical Perfusionist 214-824-2510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor (Licence: TX PF0541) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2008-06-23 |