| NPI | 1104573310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN M COLE President 972-693-3222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2023-10-10 |