| 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 |