| NPI | 1003195777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA A HERNANDEZ Medical 540-442-6144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 01011231276) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |