| NPI | 1124085956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SINA MATIN Partner 817-251-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2019-12-13 |