| NPI | 1902026438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRENT L PETTIJOHN Managing Partner 469-800-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2012-09-28 |