| 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 |