| NPI | 1154715167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY JORDAN VP Of Payer Relations 469-307-5822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 024087) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2016-07-21 |