| NPI | 1144652900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD PANOUSIERIS Physician/Owner 972-613-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX H2665) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |