| NPI | 1760681001 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MAYBIN SIMFUKWE President 806-771-1386 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX L7888) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L7888) | 
| 207RN0300X Internal Medicine, Nephrology | |
| Enumeration Date | 2007-07-17 | 
| Last Update Date | 2024-04-30 |