| NPI | 1144821323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC NIXON Owner 844-856-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |