| NPI | 1962821223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA REESE Enrollment Officer 855-687-0618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: UT 8871437-1205) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2023-10-25 |