| NPI | 1972503373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWIGHT MARK TOUPS M.D. 409-835-8323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX f9244) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX e8972) |
| 207R00000X Internal Medicine (Licence: TX g3721) | |
| 207R00000X Internal Medicine (Licence: TX f8880) | |
| 207R00000X Internal Medicine (Licence: TX k6672) | |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2010-01-07 |