NPI | 1376614362 |
---|---|
Entity Type | Organization |
Authorized Contact | KYLE G KROHN President 936-632-8220 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX H8185) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX H8186) |
Enumeration Date | 2006-11-13 |
Last Update Date | 2011-06-23 |