| NPI | 1104905728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA WHITNEY Physician Services Manager 214-572-1124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX M4734) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |