| NPI | 1942025564 |
|---|---|
| Doing Business As | CARDIOTHORACIC & VASCULAR SURGERY CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRUCE TOPPIN Corporate Secretary 662-377-4229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2025-01-22 |