| NPI | 1134997158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT PENNINGTON Authorized Official 361-985-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2023-12-19 |