| NPI | 1659823573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKEY CEE MYHAND Owner 210-464-1625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2022-12-27 |