| NPI | 1669727301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W TAYCE Manager 214-244-9820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 2086S0129X | |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |