NPI | 1518778158 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT S CARPENTER Owner/Physician 325-370-4598 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
Enumeration Date | 2025-01-14 |
Last Update Date | 2025-01-14 |