| NPI | 1679740765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN G. BERNE Breast Surgical Oncology 903-530-8566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: FL ME116831) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2013-07-10 |