NPI | 1407527807 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINA DANES Manger 936-499-5318 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2021-09-24 |
Last Update Date | 2021-09-24 |