| NPI | 1770926859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A. JONES Owner 731-536-4624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2013-04-09 |