| NPI | 1558315036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE BAUER Administrator 361-991-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX L2095) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2015-07-01 |