| NPI | 1417341744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA HIRSCH GOODMAN President 325-704-5087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P3629) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |