NPI | 1134997471 |
---|---|
Doing Business As | PDS MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | VALERIE DENISE ESTRADA Credentialing Manager 469-718-2768 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2023-12-15 |
Last Update Date | 2025-03-26 |