| NPI | 1174358691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANE GRUENEBAUM Authorized Official 361-660-8405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2025-05-01 |