| NPI | 1972901585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIO ANGEL CALDERIN Owner 903-243-6618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: FL ME121162) |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2019-09-04 |