| NPI | 1770038846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE S REBECCA Owner 254-526-9766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX J3883) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-18 |