| NPI | 1023028800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY J BLANKENSHIP Md 361-949-7233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: TX D0801) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |