| NPI | 1063134088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVION SMITH Director, Payer Contracting 424-326-8711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2022-11-14 |