| NPI | 1568470136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L MCMAHON Practice Owner 409-344-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2024-07-22 |