NPI | 1811461841 |
---|---|
Former Legal Business Name | EMERGENCY SURGICAL ASSOCIATES PLLC |
Entity Type | Organization |
Authorized Contact | BIJU M LUKOSE Cmo 469-788-8588 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 207L00000X Anesthesiology |
207RG0100X Internal Medicine, Gastroenterology | |
Enumeration Date | 2019-01-12 |
Last Update Date | 2022-07-18 |