| NPI | 1699855270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WALDO HERBERT Owner 325-653-6944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: TX D9492) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |