| NPI | 1932667821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RISPBA MCCRAY-GARRISON Owner/Physician 409-599-9934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2019-03-09 |
| Last Update Date | 2019-07-03 |