| NPI | 1841559069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS WADE President And CEO 325-716-9182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M4631) |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2012-05-08 |