NPI | 1790131597 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN W HOVORKA Medical Director 956-992-9161 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
Additional Taxonomies | 207Q00000X Family Medicine |
208600000X Surgery | |
Enumeration Date | 2016-05-11 |
Last Update Date | 2020-01-03 |