NPI | 1922001312 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES L. HOLLY Chief Executive Officer 409-833-9797 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology |
207W00000X Ophthalmology | |
261QM1300X Clinic/Center, Multi-Specialty (Licence: TX 00R45W) | |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
208000000X Pediatrics | |
Enumeration Date | 2005-05-31 |
Last Update Date | 2016-08-26 |