| NPI | 1831365295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRISELLE VIRGINIA FIGUEREDO CARDENAS Owner 901-385-6988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 31712) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2011-01-29 |