| NPI | 1588697163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANE R MILLER Owner 979-764-1474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX L1673) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2007-10-30 |