| NPI | 1346430469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGO A. CABALLERO Owner 901-751-9997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TN MD0000020966) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2014-02-12 |