| NPI | 1487821716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN M. WAGNER Managing Director 915-783-8164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 152W00000X Optometrist |
| 207L00000X Anesthesiology | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207T00000X Neurological Surgery | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 208600000X Surgery | |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |