| NPI | 1073568127 |
|---|---|
| Former Legal Business Name | CROSS TIMBERS EAR, NOSE & THROAT, PA |
| Entity Type | Organization |
| Authorized Contact | STACEY L CONANT Office Manager 817-261-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX G2176) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2011-11-18 |