| NPI | 1144382094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWIGHT AUGUSTUS LEE Partner 214-324-0418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YP0228X Otolaryngology, Pediatric Otolaryngology |
| 207YS0012X | |
| 2086X0206X Surgery, Surgical Oncology | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2011-12-05 |