| NPI | 1700103751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORTNIE WELLMAN General Manager 936-582-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: TX M2829) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX M2829) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2010-04-30 |