| NPI | 1114569209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA DARLENE ASHMORE Medical Provider 469-983-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103T00000X Psychologist | |
| 163WI0500X Registered Nurse, Infusion Therapy | |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 208200000X Plastic Surgery | |
| 213E00000X Podiatrist | |
| 225100000X Physical Therapist | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient | |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2022-09-26 |