| NPI | 1528728375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVION SMITH Director, Payer Contracting 424-326-8711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2022-11-15 |