| NPI | 1043633746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG BORCHARDT President/CEO 979-821-2266 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: TX 2186) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2014-01-31 |