| NPI | 1023393790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK B. NIEGOS Owner 361-574-1870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: GA 053344) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2012-03-19 |