NPI | 1760808000 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINE BRANSFORD Mbr 210-632-8028 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036128168) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164005482) |
Enumeration Date | 2014-03-11 |
Last Update Date | 2014-03-11 |