NPI | 1073679379 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY D. TATUM C.E.O. 817-740-8400 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Additional Taxonomies | 133V00000X Dietitian, Registered |
204C00000X Neuromusculoskeletal Medicine, Sports Medicine | |
207RN0300X Internal Medicine, Nephrology | |
207W00000X Ophthalmology | |
207Y00000X Otolaryngology | |
2084N0400X Psychiatry & Neurology, Neurology | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
2086S0129X | |
208VP0014X Pain Medicine, Interventional Pain Medicine | |
261QP2000X Clinic/Center, Physical Therapy | |
Enumeration Date | 2006-12-29 |
Last Update Date | 2025-08-15 |