| NPI | 1205435328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HERNANDEZ Billing Specialist 980-989-9487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2021-03-03 |