| NPI | 1043665367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA PONCE DE LEON Executive Administrator 214-448-1066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine |
| Additional Taxonomies | 132700000X Dietary Manager |
| 207K00000X Allergy & Immunology | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2019-09-24 |