| NPI | 1083026132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN JOHNSON Physcian 817-739-5391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX M4217) |
| Enumeration Date | 2014-05-23 |
| Last Update Date | 2014-05-23 |