| NPI | 1770162695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT DOUGLASS President 361-729-0646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2022-07-26 |