| NPI | 1245879675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH E GONZALEZ Owner 940-767-3797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |