| NPI | 1134109747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNA HARRISON Sr Director Of Provider Relations 972-330-1723 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology |
| 207RX0202X Internal Medicine, Medical Oncology | |
| 2085R0203X Radiology, Therapeutic Radiology | |
| 208600000X Surgery | |
| 2086X0206X Surgery, Surgical Oncology | |
| 208800000X Urology | |
| 208D00000X General Practice | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2025-01-31 |