| NPI | 1154076438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA GRUMBLES Adminisstrator 409-682-3863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine Hospice and Palliative Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2022-10-05 |