| NPI | 1063698272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L GARVEY Billing Account Manager 979-764-1474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Additional Taxonomies | 174400000X Specialist (Licence: TX J2957) |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2025-01-31 |