| NPI | 1851569024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA TATUM Executive Director 936-569-8240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2021-01-06 |