| NPI | 1073912226 |
|---|---|
| Doing Business As | HEALTHQUILT |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DUNN President 346-406-1730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX J0756) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2022-08-05 |