| NPI | 1154173987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW SCHINDLBECK Authorized Official 972-781-1878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2024-04-04 |