| NPI | 1659779445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALLEN CEO 731-422-0330 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207N00000X Dermatology | |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207RH0000X Internal Medicine Hematology | |
| 207RI0011X Internal Medicine Interventional Cardiology | |
| 207RI0200X Internal Medicine Infectious Disease | |
| 207RN0300X Internal Medicine Nephrology | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 207RS0012X Internal Medicine Sleep Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208M00000X Hospitalist | |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-11 |