| NPI | 1144102047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNA A NIX Rcm Team Lead 817-710-7644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-07-22 |