| NPI | 1538304613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE LOUDENSLAGER Office Manager 936-560-4327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX L2126) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2023-05-16 |