| NPI | 1780787861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MARTIN RUTLEDGE C.O.O. 409-883-3201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207Y00000X Otolaryngology | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2009-03-03 |