| NPI | 1255519716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN L WILLIAMS Credentialing Manager 806-771-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: TX 92-154) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |