| NPI | 1073252276 |
|---|---|
| Doing Business As | ULTIMA HEALTH |
| Entity Type | Organization |
| Authorized Contact | ASHLEY SMALL Credentialing Specialist 832-251-7840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2022-06-03 |