| NPI | 1134545924 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ROXANNE TYROCH Physician/Owner 915-532-5858 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K1945) | 
| Enumeration Date | 2014-03-17 | 
| Last Update Date | 2024-04-18 |