| NPI | 1033629811 |
|---|---|
| Doing Business As | AMD, MD |
| Entity Type | Organization |
| Authorized Contact | ANDREW DALE Owner 254-831-3172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K5882) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2018-02-15 |