NPI | 1629149810 |
---|---|
Entity Type | Organization |
Authorized Contact | MILTON WIRTZ SHEPPERD President 830-693-1792 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX J6722) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX J6722) |
Enumeration Date | 2006-11-11 |
Last Update Date | 2009-05-05 |