| NPI | 1174668123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN HERRINGTON Vice President 409-866-0856 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K2888) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2009-09-25 |