| NPI | 1174724769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY LIBERONI President 979-245-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2010-06-04 |