| NPI | 1114286044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY MCFARLAND Credentialing Consultant 936-443-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M3057) |
| Enumeration Date | 2012-05-12 |
| Last Update Date | 2012-05-12 |