| NPI | 1831149533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIDEL DELEON MAKAPUGAY M.D. 901-850-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN MD0000021004) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2023-10-07 |