| NPI | 1265477152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ROPPOLO Office Manager 903-893-7170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX G0858) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX G0858) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2026-01-13 |