| NPI | 1174924450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MALDONADO Physician/Owner 817-703-4475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX L2441) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX L2441) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX L2441) | |
| Enumeration Date | 2014-09-05 |
| Last Update Date | 2024-03-13 |