| NPI | 1487734836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL L CROWDER Practice Manager 409-985-3207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2012-07-24 |