| NPI | 1194090001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK CERISE President And CEO 214-590-8006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist Clinical | |
| 207Q00000X Family Medicine | |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 363A00000X Physician Assistant | |
| 363LP0200X Nurse Practitioner Pediatrics | |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2022-12-19 |