NPI | 1083631071 |
---|---|
Doing Business As | MAGELLA MEDICAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | MICHAEL D DWYER Assistant Secretary 972-437-5099 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine |
2080P0008X Pediatrics Neurodevelopmental Disabilities | |
2080P0202X Pediatrics Pediatric Cardiology | |
2085R0202X Radiology Diagnostic Radiology | |
363LN0000X Nurse Practitioner Neonatal | |
Enumeration Date | 2006-07-16 |
Last Update Date | 2024-10-18 |