| NPI | 1265634711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA ANN TRAVIS M.D. 812-275-3328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: IN 01036752A) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2008-04-08 |