| NPI | 1295987337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRENT L PETTIJOHN Managing Partner 469-800-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2012-09-28 |