| NPI | 1639300288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIC R DEKERATRY President 512-819-0132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: TX L0787) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: TX L0787) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2018-10-29 |