| NPI | 1033972716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN WHITE CEO 817-244-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261Q00000X Clinic/Center | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-06-13 |