| NPI | 1992113914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE LANNO Managed Care Physician Credentialin 979-754-2052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: 39) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-23 |