NPI | 1396796553 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENDA M VOZZA Owner 903-315-2907 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX K6399) |
Enumeration Date | 2006-05-13 |
Last Update Date | 2020-01-13 |