| NPI | 1457579120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LYNN COLE Billing 979-774-0012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2019-05-29 |