| NPI | 1790782654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN ELIZABETH FOURTON Director 972-860-8649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery (Licence: TX 00732U) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX 00732U) |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2010-05-05 |