| NPI | 1902266208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA M ULMER Office Manager 903-821-6177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-03-14 |