| NPI | 1689726036 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | NANCI J VIEYRA Billing Manager 402-978-5151 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NE 18952) | 
| Enumeration Date | 2007-01-17 | 
| Last Update Date | 2020-08-22 |