| NPI | 1477786473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA L FLORES Clinic Manager 901-531-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2009-08-25 |