| NPI | 1134445190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALENCIA JOHNSON Asst Office Administrator 972-701-0199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-04-15 |