| NPI | 1629019823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA L. SMITH Director 409-772-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207N00000X Dermatology | |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207W00000X Ophthalmology | |
| 207Y00000X Otolaryngology | |
| 207ZP0101X Pathology Anatomic Pathology | |
| 208000000X Pediatrics | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 2085R0001X Radiology Radiation Oncology | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 208600000X Surgery | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2009-09-22 |