| NPI | 1417663154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MARIE GUAY President Of Smg 469-341-8848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2023-01-26 |