| NPI | 1245982800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CONRAD PARK Mbr/Manager 940-367-2953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2022-01-24 |