NPI | 1043491327 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYAN G JOHNSON Physician/Owner 469-633-9300 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L0833) |
Enumeration Date | 2007-11-15 |
Last Update Date | 2024-06-11 |