| NPI | 1962784546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY J BRYNE President 469-401-2386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2014-06-04 |