NPI | 1861441529 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSS RONAN Vice President 469-401-2386 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
Enumeration Date | 2006-05-09 |
Last Update Date | 2014-04-24 |