| NPI | 1073713376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L MCCULLOUGH President 214-265-8646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX D0965) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-07-24 |