| NPI | 1003907353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE E GRADEL Clinical Director 817-885-7701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |