| NPI | 1427300078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IKEDIEZE IGWE CHUKWU Medical Director 915-996-9363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N2442) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2025-10-06 |