| NPI | 1245419118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECIL MARTINDALE BOURNE Owner 361-852-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX D8154) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2010-10-26 |