| NPI | 1063765212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA STILES Owner 214-454-9452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: TX H8853) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-25 |