| NPI | 1093017964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES M MCCLEAN Owner 817-557-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: TX J0590) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2011-06-09 |