| NPI | 1497882625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W BRYAN Partner 817-267-2678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| 208C00000X Colon & Rectal Surgery | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2022-07-22 |