| NPI | 1053512400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN OR THAO PERKINS OR TONG Billing Office 972-981-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX H2316) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2008-09-02 |