| NPI | 1588993679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAE CREWS Director Of Operations 662-579-3484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2022-09-22 |