| NPI | 1043831753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN MATTHEW SOMMERLAD Member 972-757-7928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2020-05-04 |