| NPI | 1023010386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZ A ALANIZ Office Manager 817-465-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K5368) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX J7772) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2008-05-21 |