| NPI | 1124140991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON LEE NORWOOD Office Manager 214-644-0980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K5292) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |