| NPI | 1922855667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMISON CONRAD ALEXANDER Do 903-892-8222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2024-05-01 |