| NPI | 1801456322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON LAWRENCE Administrator/Don 936-933-4085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |