NPI | 1750570008 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN R PICKETT Owner/President 936-634-9844 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX E8818) |
Enumeration Date | 2007-10-22 |
Last Update Date | 2010-02-19 |