NPI | 1497913040 |
---|---|
Entity Type | Organization |
Authorized Contact | BURCHAM COOPER FUQUA President 361-991-7039 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX F9456) |
Enumeration Date | 2008-05-30 |
Last Update Date | 2010-11-19 |