| NPI | 1972030799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY BYRNE Officer 469-401-2386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |