| NPI | 1497123616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL LEIN NGUYEN COO 940-442-5209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2023-09-21 |