| NPI | 1053788596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH ANN TIPPING CEO/Secretary 682-472-0161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: TX L2986) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-02 |