| NPI | 1902552961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY WILLIS Officer 915-867-7860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2022-02-28 |