| NPI | 1750786869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY JORDAN Owner / President 844-633-4663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX J9574) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2016-09-16 |