| NPI | 1083703433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA M RIPSIN Assistant Professor 409-772-0620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101102673) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-08-02 |