| NPI | 1205036951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASTRID D VELASQUEZ Clinic Manager 901-531-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD653723) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD29316) |
| 208000000X Pediatrics (Licence: TN MD023823) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN8252) | |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |