| NPI | 1073210993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE PHUAH Physician/CEO 817-386-3632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2024-04-29 |