| NPI | 1407845084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN PICCONE Executive Associate Dean 432-620-1036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2017-08-09 |