| NPI | 1700206133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERIN BRYANT Co Owner 361-592-8588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX E8082) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA03924) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-04-24 |