| NPI | 1235461039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESTER BYRON HORRELL Owner/Physician 410-398-5930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD D0056952) |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-02-03 |