| NPI | 1790948297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE WAGNER Mpip Manager 915-545-6664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: TX 390200000X) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |