| NPI | 1740550805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL THOMAS RAYBURN President 501-223-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AR E2209) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |