| NPI | 1730562091 |
|---|---|
| Other Name | TEXAS |
| Entity Type | Organization |
| Authorized Contact | DIRK O WALES CEO/Owner 615-564-3511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2019-07-29 |