| NPI | 1366416919 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ANGELA FOSTER Practice Administrator 409-892-1192 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease | 
| Enumeration Date | 2006-02-13 | 
| Last Update Date | 2022-07-21 |