| NPI | 1093322257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON LAGRONE Director 214-422-5715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2024-05-14 |