| NPI | 1164908463 |
|---|---|
| Doing Business As | GENESIS INTEGRATED MEDICINE |
| Entity Type | Organization |
| Authorized Contact | STACY LYLES HAWKINS Credentialing 361-356-3110 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-30 |