| NPI | 1174553416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GONZALO VENEGAS Owner 214-942-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TX H6974) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2023-03-31 |