| NPI | 1871666271 |
|---|---|
| Other Name | PROF ASSOCIATION |
| Entity Type | Organization |
| Authorized Contact | KENNON D WIGLEY Physician 979-774-4008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2013-04-25 |