NPI | 1194479048 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW SMITH Physician/Owner 214-504-4126 |
Organization Subpart ? | No |
Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases |
Enumeration Date | 2022-02-09 |
Last Update Date | 2022-02-09 |