| NPI | 1467762021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD ROSE President 806-799-2991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX l9460) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: TX l9460) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2015-09-04 |