NPI | 1467631135 |
---|---|
Entity Type | Organization |
Authorized Contact | CLAIRE CLARK Credentialing 210-614-2100 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX E4159) |
Enumeration Date | 2007-10-30 |
Last Update Date | 2019-07-25 |