| NPI | 1043405467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE DEJA Practice Manager 972-981-8345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |