| NPI | 1023120698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOSEPH BIAVATI Owner 214-696-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX J4719) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |