| NPI | 1053909705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOSEPH STITH Collaborative Physician 361-904-3637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 207QA0505X Family Medicine, Adult Medicine | |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2022-10-04 |