| NPI | 1467616201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE J BEAUDRY Md/Owner 409-899-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX M9151) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX M9151) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2011-09-23 |