NPI | 1164026845 |
---|---|
Entity Type | Organization |
Authorized Contact | RITA PANNELL Operations Manager 214-310-6763 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2020-11-24 |
Last Update Date | 2022-01-10 |