| NPI | 1932370814 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DANIEL WESLEY CALDWELL Owner/ Provider 940-383-1279  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX J6078)  | 
| Enumeration Date | 2008-03-18 | 
| Last Update Date | 2008-10-28 |