| NPI | 1063516789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGIE A PRIOLEAU Physician Assistance 214-857-1734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA01808) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-08-22 |