| NPI | 1528240256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES W HOPPERS Owner 731-984-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 2083X0100X Preventive Medicine, Occupational Medicine | |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2022-02-08 |