| NPI | 1023297306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY LYNN CARRY Owner 210-829-8063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX F6511) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX F6511) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2016-08-25 |