| NPI | 1588167779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY RYAN WHITE Owner 430-200-5864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX P1247) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2020-08-17 |