| NPI | 1215910633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAIA GHANDOUR Administrator 806-788-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2017-09-08 |