| NPI | 1649203043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY TEAGUE VP, Corporate Secretary 629-253-5121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207X00000X Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2023-04-13 |