| NPI | 1639303910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MARK MORALES President 361-854-0201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX J5418) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX M0019) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX L1528) | |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2009-05-14 |