| NPI | 1053416289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE MCGEE HENDERSON Revenue Cycle Director 817-735-2008 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2018-05-29 |