| NPI | 1720010184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA EZELL Administrator 512-494-9985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-11-19 |