| NPI | 1023257763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHELLE REE HORTON-BROWN Sole Member 402-453-6869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 22626) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 22626) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2023-09-12 |