| NPI | 1336250661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL WAYNE SAWYER President/Owner 432-697-1061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care |
| 2086S0127X Surgery, Trauma Surgery | |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |