| NPI | 1760667802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN L MCNEILL Owner 361-576-3680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2012-11-14 |