| NPI | 1811018492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN T HOUSTON Owner 270-926-8828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: KY 21411) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: KY PA787) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2009-04-01 |