| NPI | 1407031230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAM ELIAS MARAR President 712-256-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2007-12-28 |