| NPI | 1033181078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE HENDERSON Revenue Cycle Director 817-735-2008 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 204D00000X Neuromusculoskeletal Medicine & OMM | |
| 207KA0200X Allergy & Immunology Allergy | |
| 207Q00000X Family Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| 2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 208600000X Surgery | |
| 213E00000X Podiatrist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2018-06-06 |