| NPI | 1285629386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALLEN C.E.O. 731-422-0330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 133V00000X Dietitian, Registered | |
| 152W00000X Optometrist | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery | |
| 207Q00000X Family Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 207RN0300X Internal Medicine, Nephrology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2024-10-10 |