| NPI | 1750562211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL THOMAS Credentialing 915-532-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2012-12-19 |