| NPI | 1124733795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIA HOOD Sr Credentialing Manager 469-231-6417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2025-07-02 |