NPI | 1821385329 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC LEE President/CEO 270-887-0100 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
363LF0000X Nurse Practitioner, Family | |
207N00000X Dermatology | |
207R00000X Internal Medicine | |
207RG0100X Internal Medicine, Gastroenterology | |
207RH0003X Internal Medicine, Hematology & Oncology | |
207RX0202X Internal Medicine, Medical Oncology | |
207V00000X Obstetrics & Gynecology | |
207X00000X Orthopaedic Surgery | |
208600000X Surgery | |
208800000X Urology | |
363A00000X Physician Assistant | |
363AS0400X Physician Assistant, Surgical | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2011-07-05 |
Last Update Date | 2020-12-22 |