| NPI | 1083878946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON L. HOUK Md 270-763-0067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2024-05-24 |