| NPI | 1952346637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES DOULGAS CRUMPLER Physician Owner 979-776-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2020-08-22 |