| NPI | 1144412990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLAINE L CONANT Business Manager 972-402-8404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: TX g3844) |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2020-11-11 |