| NPI | 1194920835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY L CAIVANO Owner 817-447-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX J7923) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX M1052) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2008-08-21 |