| NPI | 1487059598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE OBLENA Md 256-403-1025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QC1500X Clinic/Center Community Health (Licence: AL 19610) |
| 282NR1301X General Acute Care Hospital Rural | |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-10-31 |