| NPI | 1902824659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELLA COOMES Administrator 254-741-1860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |