| NPI | 1427177377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL LYNN MICAN Practice Manager 361-883-3831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: TX G9395) |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery (Licence: TX E7836) |
| 208C00000X Colon & Rectal Surgery (Licence: TX M0423) | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2024-01-03 |