| NPI | 1134124852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NITA PICKETT Administrative Assistant 972-566-4880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086X0206X Surgery Surgical Oncology |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2010-12-07 |