NPI | 1265851935 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL A ANZALDUA President 317-324-8802 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
363LA2200X Nurse Practitioner, Adult Health | |
363LF0000X Nurse Practitioner, Family | |
207RN0300X Internal Medicine, Nephrology | |
Enumeration Date | 2014-04-10 |
Last Update Date | 2025-07-31 |