NPI | 1093182305 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMMY VAUGHN Credentialing Coordinator 940-320-1708 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
Enumeration Date | 2015-08-24 |
Last Update Date | 2018-07-11 |