| NPI | 1760111553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD W. BROWN Physician/Owner 270-392-9746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2024-01-26 |