| NPI | 1811767924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANS TURNER Authorized Official 409-934-7161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2025-03-10 |