| NPI | 1962416842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANOJ H MAJMUDAR Owner 270-886-8840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2014-03-07 |