| NPI | 1790933240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARY R. KUPOR Physician 979-282-9955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: TX E3036) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-09 |