| NPI | 1356452668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDEEPA MUSUNURU Partner 432-697-1061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0127X Surgery, Trauma Surgery |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-03-13 |