| NPI | 1114870524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JINGYI KANG Operations Adminstrator 332-203-2522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 172V00000X Community Health Worker | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| Enumeration Date | 2026-02-16 |
| Last Update Date | 2026-02-16 |