| NPI | 1871914911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T NOLEN Owner 501-492-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |