| NPI | 1144271743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAVONDA L WILLIAMS Corporate Director, Professional 667-214-1485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2024-08-02 |