| NPI | 1730323130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE ADDISON President 361-985-1221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2009-04-29 |