| NPI | 1124558796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHON D OREAR Member 817-484-0233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 174400000X Specialist |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208600000X Surgery | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2022-07-21 |