| NPI | 1326192352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY BOWEN Chief Operation Officer 325-481-2203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy |
| Additional Taxonomies | 207N00000X Dermatology |
| 207R00000X Internal Medicine | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207V00000X Obstetrics & Gynecology | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 208800000X Urology | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |