| NPI | 1184924268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK C MESHEL Owner 276-970-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101232141) |
| Enumeration Date | 2010-10-24 |
| Last Update Date | 2011-06-21 |