| NPI | 1356531172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY MOORE Billing Manager 512-342-0455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: NC 200501348) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2007-07-27 |