NPI | 1144641408 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN SMITH Manager Of Regulatory Compliance 972-616-4702 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX g7239) |
Enumeration Date | 2014-01-03 |
Last Update Date | 2014-01-03 |