| NPI | 1437730942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALARIE HOWARD Vice President 270-825-5781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker Clinical | |
| 207Q00000X Family Medicine | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207Y00000X Otolaryngology | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner Family | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 208600000X Surgery | |
| 213E00000X Podiatrist | |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2025-03-03 |