NPI | 1992124432 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS E MARTENS President 956-618-4878 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
207QS0010X Family Medicine, Sports Medicine | |
Enumeration Date | 2014-04-14 |
Last Update Date | 2014-05-08 |