| NPI | 1487367637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMI CHANCE Office Manager 325-439-0037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2023-01-03 |