| NPI | 1235404377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK E SEWELL Managing Member/Owner 662-721-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |