| NPI | 1194935569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRVIN ZIETLER Physician 325-949-9408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: TX F4722) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |