| NPI | 1922409101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LON YOUNG President 979-314-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 261QE0002X Clinic/Center, Emergency Care |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2020-09-04 |