| NPI | 1174759427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY SHERRILL Office Manager 972-264-4221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX D7640) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX D7640) |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2009-06-01 |