| NPI | 1689842130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL HENRY Member 270-844-8144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |