| NPI | 1033310388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM PANDANELL Program Manager, Residency Training 409-772-4194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-08-22 |