| NPI | 1508914102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY N EVANS President Owner 662-234-0119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MS 12109,17162,R862053) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-09-05 |