| NPI | 1255674586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PHILLIP MYATT Owner 254-715-5585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX N1791) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N1791) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2020-02-24 |