| NPI | 1497148704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMADO X FREIRE Owner 901-753-8361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 31816) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: TN 31816) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: TN 31816) | |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-06-22 |