| NPI | 1386999217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBERLY DURAN Office Manager 936-514-3278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX L5522) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2024-10-29 |