| NPI | 1114306206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY JORDAN VP Of Payer Relations 844-633-4663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N3170) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2016-09-15 |