| NPI | 1902074990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT VICTOR HALLETT Owner 936-631-3045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2017-04-17 |