| NPI | 1093541310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK ROBERSON Director 214-660-6271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health |
| 207QA0505X Family Medicine, Adult Medicine | |
| 207X00000X Orthopaedic Surgery | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 225100000X Physical Therapist | |
| 2251G0304X Physical Therapist, Geriatrics | |
| 2278H0200X Respiratory Therapist, Certified, Home Health | |
| 2279G1100X Respiratory Therapist, Registered, General Care | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-09-12 |