| NPI | 1437571114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN ANN GOUVEIA Physician Owner 915-400-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX M8004) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2019-09-17 |