NPI | 1164603379 |
---|---|
Entity Type | Organization |
Authorized Contact | WALTER F. CHASE Owner/Operator, Sole Shareholder 512-451-6363 |
Organization Subpart ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: TX G2344) |
Enumeration Date | 2007-11-15 |
Last Update Date | 2007-11-15 |