| NPI | 1245047612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAVONDA L WILLIAMS Corporate Director 667-214-2507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology |
| 207RX0202X Internal Medicine, Medical Oncology | |
| Enumeration Date | 2024-12-18 |
| Last Update Date | 2024-12-18 |