| NPI | 1932389137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK EDWARD SKELLENGER President 281-990-8346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TX E6620) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2008-07-29 |