| NPI | 1790547172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICIELLE TIMTIMAN Credentialing Lead 276-208-7087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 207R00000X Internal Medicine | |
| 224Y00000X Clinical Exercise Physiologist | |
| 225100000X Physical Therapist | |
| 227800000X Respiratory Therapist, Certified | |
| 227900000X Respiratory Therapist, Registered | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2025-05-07 |