| NPI | 1194947572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE AUDIE E. LIM Sole Proprietor 940-767-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K4886) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |