| NPI | 1912196486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK L CORTESE Owner 361-884-9244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology (Licence: TX F0427) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2022-10-03 |