| NPI | 1811172422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BUFFIE MCDONALD Assistant Adminstrator 806-355-3022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX L2953) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2009-01-14 |