| NPI | 1508926080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY COOPER Administrator 361-993-3456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX G8931) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX D7369) |
| 174400000X Specialist (Licence: TX L9212) | |
| 174400000X Specialist (Licence: TX M1217) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX D7369) | |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2011-04-05 |