| NPI | 1457590721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY MATHEW JOHN Managing Member 254-718-8329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME99435) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2009-02-10 |