| NPI | 1356728455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE S REBECCA Sole Member 254-526-9766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX J3883) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2016-12-14 |