| NPI | 1073646014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYRON KEVIN BEAVER President 409-899-8534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine (Licence: TX L6781) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2018-06-21 |