| NPI | 1043454655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY TEAGUE VP, Corporate Secretary 629-253-5121 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 208800000X Urology | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2024-06-03 |