| NPI | 1912148412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF HENDERSON President 972-401-8720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2009-11-22 |