NPI | 1194984757 |
---|---|
Entity Type | Organization |
Authorized Contact | WISAM NACHAWATI Physician Assistant 972-451-0617 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA04785) |
Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: TX PA04785) |
Enumeration Date | 2008-06-08 |
Last Update Date | 2013-09-04 |