| NPI | 1174925994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDIE STONE President 469-401-2386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2016-04-11 |