| NPI | 1164591822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSETTA SCOTT Sr. Provider Enrollment Specialist 214-645-0325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: VA 0101234888) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-12-20 |