| 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 |