| NPI | 1205035581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES T MITCHELL President 469-401-2386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2013-12-23 |